Provider Demographics
NPI:1922856343
Name:NEESE, CHAYLA
Entity type:Individual
Prefix:
First Name:CHAYLA
Middle Name:
Last Name:NEESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:HILMAR
Mailing Address - State:CA
Mailing Address - Zip Code:95324-1085
Mailing Address - Country:US
Mailing Address - Phone:209-620-5032
Mailing Address - Fax:
Practice Address - Street 1:19155 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:HILMAR
Practice Address - State:CA
Practice Address - Zip Code:95324-9307
Practice Address - Country:US
Practice Address - Phone:209-620-5032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula